Related Experiment Video
Updated: Sep 30, 2025
07:06
Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
4.0K
ADENOID SIZE IN CHILDREN WITH OTITIS MEDIA WITH EFFUSION
Marta Zrinka Galić1, Marisa Klančnik1
1Department of Otorhinolaryngology, Split University Hospital Centre, Split, Croatia.
Acta Clinica Croatica
|March 14, 2022
Summary
Enlarged adenoids (adenoid hypertrophy) significantly correlate with persistent otitis media with effusion (OME) in children. Higher grades of adenoid hypertrophy indicate a greater likelihood of treatment failure for OME.
Area of Science:
- Pediatric Otolaryngology
- Auditory Health
- Pediatric Respiratory Health
Background:
- Otitis media with effusion (OME) is a leading cause of pediatric hearing loss.
- Adenoid hypertrophy (AH) is a recognized contributing factor to OME.
- Understanding the relationship between AH size and OME persistence is crucial for standardized diagnosis and treatment.
Purpose of the Study:
- To investigate the correlation between the relative size of adenoid hypertrophy (AH) and the incidence of persistent otitis media with effusion (OME) in children.
- To evaluate the impact of AH severity on the failure of conservative OME treatment.
Main Methods:
- Retrospective study of 65 children (aged 2-12 years) with chronic OME and AH symptoms.
- Data collection included patient history, physical examinations, tympanometry, audiometry, and flexible nasal fiberoptic endoscopy.
- Adenoid grading utilized the Cassano method.
Main Results:
- No significant gender or age differences were observed.
- Highest OME incidence occurred in younger age groups (2-5 and 6-9 years).
- Grades II (35.38%) and III (50.77%) were the most frequent AH grades, showing statistical significance.
- Hearing impairment, snoring, and nasal obstruction were the most common symptoms.
Conclusions:
- Higher grades of adenoid hypertrophy are significantly associated with persistent OME.
- Severe AH may predict the failure of conservative management for OME.
- Findings support a standardized approach to diagnosing and treating OME in relation to AH severity.
Related Concept Videos
01:30Tonsillitis I: Introduction
656
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
656
01:23Chronic Pharyngitis
5.9K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
5.9K
01:26Tonsillitis II: Management
190
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
190
01:29Suctioning the Nasopharyngeal Airway
1.2K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
1.2K
01:25Suctioning the Oropharyngeal Airway
429
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
429
01:26Aneurysm III: Interprofessional Care
40
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
40